李润东从肝主疏泄论治肺结节经验

[中图分类号]R256.19；R249.2 [文献标志码］A [文章编号]0257-358X（2026）04-0415-05

DOI：10.16295/j.cnki.0257-358x.2026.04.013

LI Rundong's Experience in Treating Pulmonary Nodule from Perspective of Liver Controlling Conveyance and Dispersion

LI Li Mentor：LI Rundong

（Zaozhuang Hospital of Dongfang Hospital，Beijing Universityof ChineseMedicine，Zaozhuang 277ooo，China）

AbstractIn traditional Chinese medicine，the pulmonary nodule is clasified into the categoriesof lung accumulation and ke’nang.Professor LI Rundong posits that the pathogenic factors of thisdisease predominantlyinclude qi stagnation，phlegm coagulation，bloodstasis，and fire-toxin，and itsessenceis intricately associated with the dysfunction of theliver in controlling conveyanceand dispersion.The liver controls conveyance and dispersion，ensuring the free flow of qi.When qi moves，blood circulates and body fluidsaredistributedsmothly.Ifthedistributionofqi，blood，andbodyfluidsisorderly，variousstagnations suchasqi stagnation，phlegmstagnation，bloodstasis，andfirestagnationwillnotoccur.However，iftheliver's functionof controlling conveyanceanddispersionisabnormal，qi，blood，andbodyfluids will stagnate，thereby failing to circulate smoothly.Consequently，variouspathological toxins will emerge andaccumulate in the lungs，which willlead to the development of lung accumulation.In clinical practice，treatment should be centeredaroundthe liver.By adopting sothing the liver，nourishing theliver，and clearing liver heatas thecore treatment approaches，restoring the liver’s function of controlling conveyance and dispersion and eliminating pathogenic factors can result in the disappearance of nodules. One proven case is attached.

Keywordspulmonary nodule;liver controling conveyance and dispersion;qi stagnation; phlegm and blood stasis;fire-toxin;soothing the liver;nourishing the liver;clearing liver heat

肺结节是指肺内直径 ⩽3cm 的圆形或类圆形病灶，影像学表现为密度增高的实性或亚实性肺部阴影，存在癌变的可能[1-2]。（剩余6709字）